Durning Steven J, Costanzo Michelle, Artino Anthony R, van der Vleuten Cees, Beckman Thomas J, Holmboe Eric, Roy Michael J, Schuwirth Lambert
J Contin Educ Health Prof. 2014 Winter;34(1):76-82. doi: 10.1002/chp.21215.
Clinical reasoning is essential to the practice of medicine. There have been many advances in the understanding of clinical reasoning and its assessment, yet current approaches have a number of important limitations. Functional magnetic resonance imaging (fMRI) is promising because it permits investigators to directly view the neuroanatomical changes that occur with thinking. In this article, we briefly review current approaches to assessing clinical reasoning, discuss the emerging role and utility of fMRI in understanding clinical reasoning, and suggest directions for future research, continuing education, and practice.
临床推理对于医学实践至关重要。在对临床推理及其评估的理解方面已经取得了许多进展，但目前的方法存在一些重要局限性。功能磁共振成像（fMRI）很有前景，因为它使研究人员能够直接观察思维过程中发生的神经解剖学变化。在本文中，我们简要回顾了评估临床推理的当前方法，讨论了fMRI在理解临床推理方面的新兴作用和效用，并提出了未来研究、继续教育和实践的方向。
